KHANH BAO PHAN

UNION, NJ
NPI1871804328
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: NJ  25MB08718100)
Enumeration Date2010-06-30
Last Update Date2010-06-30
Business Address
Dr. KHANH BAO PHAN D.O.
1651 EARL ST
UNION, NJ 07083-5531
Phone number: 908-591-9200
Mailing Address
Dr. KHANH BAO PHAN D.O.
1651 EARL ST
UNION, NJ 07083-5531
Phone number: 908-591-9200